Organization · Type 2 NPI
Southwest Kidney Davita Dialysis Partners LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Glendale, AZ
NPI number
1962685636
Active
Practice location
20325 N 51st Ave, Bldg 11 Ste 184 & 186
Glendale, AZ 85308-4625
Fax (623) 533-6579
Mailing address
5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | OTC4389 (AZ) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
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About NPI 1962685636
Southwest Kidney Davita Dialysis Partners LLC's National Provider Identifier is 1962685636, issued on Dec 17, 2007. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Glendale, AZ. The record was last updated on Oct 21, 2026.